Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | ME152379 | FL |
NPI | 1255719993 |
---|---|
Provider Name | Anthony Truong |
First Address | Delray Beach, FL 33484-6537 |
Second Address | Delray Beach, FL 33484-6537 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2015 |
Last Update Date | 29/09/2021 |